CLIA lab

CLIA 52D2257150: Walmart Pharmacy 10-1449

Manitowoc, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D2257150 belongs to Walmart Pharmacy 10-1449 in Manitowoc, WI.

Certificate of Waiver, effective March 31, 2026, expires March 30, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
March 31, 2026
Certificate expiration
March 30, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 31, 2022
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
52D2257150
Lab name
Walmart Pharmacy 10-1449
Address
4115 Calumet Ave, Manitowoc, WI 54220
Phone
(920) 684-5016
Fax
(920) 684-5374

Annual test volume the lab reported

Waived tests
5,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Manitowoc, WI

Related

Questions

What is the CLIA number for Walmart Pharmacy 10-1449 in Manitowoc?

52D2257150, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-1449 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2257150 expire?

The CMS file lists March 30, 2028 as the certificate expiration date; the certificate took effect March 31, 2026.

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